Nguyen Kimberly H, Kegler Scott R, Chiang Laura, Kress Howard
Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Division of Analysis, Research, and Practice Integration, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Violence Vict. 2019 Apr 1;34(2):229-242. doi: 10.1891/0886-6708.VV-D-17-00182.
Children's exposure to poly-victimization, which is the experience of multiple types of victimization, has been found to be associated with negative health outcomes and risk behaviors. We examined the collective effects of childhood sexual, physical, and emotional violence on selected self-reported health outcomes among young Kenyan females and males using the Violence Against Children Survey (VACS). Overall, 76.2% of females and 79.8% of males were victims of sexual, physical, or emotional violence prior to age 18, and one-third (32.9% and 34.5%, respectively) experienced two or more types of violence. Poly-victimization was significantly associated with current feelings of anxiety, depression, and suicidal thoughts in females and males, as well as self-reported fair or poor health in males ( < .05) as compared to those who experienced no violence. The study data demonstrate an urgent need to reduce all types of violence against children, as well develop appropriate strategies for its prevention.
儿童遭受多种形式的受害经历，即经历多种类型的侵害，已被发现与负面健康结果及风险行为有关。我们利用儿童暴力调查（VACS），研究了童年时期遭受的性暴力、身体暴力和情感暴力对肯尼亚年轻女性和男性自我报告的特定健康结果的综合影响。总体而言，76.2%的女性和79.8%的男性在18岁之前曾遭受性暴力、身体暴力或情感暴力，三分之一（分别为32.9%和34.5%）经历过两种或更多类型的暴力。与未经历暴力的人相比，多重受害经历与女性和男性当前的焦虑、抑郁情绪及自杀念头显著相关，同时也与男性自我报告的健康状况一般或较差显著相关（P<0.05）。研究数据表明，迫切需要减少针对儿童的所有类型的暴力行为，并制定适当的预防策略。
